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Home My WebLink AboutX2015-1582 - PermitsCity of Newport Beach=BAding Division 100 Civic Center Drive, Newport Be ch, CA 92660 Permit Counter Phone (91 S Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM COMB Permit: X2015-1582 Project No: Issued Date : 06108/2015 IntAci/i : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE Job Address: 11 MENTON NB Description: SFR- RETILE SHOWER IN BATH 1, REMOVE TUB IN BATH 2, REPLACE WISHOWER, RE -PIPE HOUSE W/COPPER & PEX (STD PLAN) Legal Desc.: N TR 14902 LOT 56 Owner: BECKER NICK & MILES J v 6° nr7,,�r T H T CONSTRUCTION Address: 11 MENTON i Date: ` Att17�sSTS-_ 463 E 19TH STREET NEWPORT COAST, CA 92657 - COSTA MESA A 926 7 Phone: Phone. 949-646-2262 Fe Applicant: T H T CONSTRUCTION in State Lic. 725078 Address: 463 E 19TH STREET Cs Expue: 09/3012016 IE L COSTA MESA CA 92627 . Lic BT30048721; Phone: 949-646-2262 1 Lic Exp Date. 10/3112015 Code Edit: 2013 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $ Building Permit Fee: $159.00 Plan Check Fee: $114.48 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 PROCESSED BY: Worker's Compensation Insurance , Carrier. NORGUARD INS Wlliii , No THWC546241 - ` qL j1/17/2016`E D Building Setbacks Rear: / Front: 10' Left: / Iltl-'A ria a Architect: If IlYocable: Stat ff ON. or ❑ 100% ref unl? Engineer: Address: to whom: Phone: State Designer: Address: Phone: Special Conditions: .VW ` (work started) (no work started) Excise Tax: $0.00 Planning Department - p� Additional Fee : $0.00 Plan check Fee : $32.00 Note: ote: Fair Share $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Grading Permit Fee': $0.00 In -lieu Housing Fee : Insp.Wftia Grading i ee: u rc r s a e t- TOTAL FEE: $324.38 ZONING APPROVAL: GRADING APPROVAL: PAN Plan Check : $0.00 Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $15.90 Plan Check Fee Fire Department Fire Inspection: Dept $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $324.38 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or moved for the purpose of sale). I, as owner of the property, am a lusively contracting with licensed Contractors to construct the project ec Ion uslness an ro es I ns rs' State License Law does not Ily to an owner of property who buts or Ap�roYes thereon, and who F tracts for th�pro` s with a licensed Contractor pursuant to the Contractors' State License La ). J I am exempt from licensure and y my signature below I acknowledt ell a structure that I have built as a 'rofessions Code, is available upon signature of Property Owner or Auff .ICENSED CONTRACTOR'S 0 hereby affirm under penalty of perj id effect. Licensq Clzss COMPENSATION ARNI.JG: FAILURE TO SECURE WORKERS' 09T OF COMPENSA i IJa, DAMAGES AS PR nelebv affirm under penalty of perju I . ',Lve and :dill maintain a certif n e of the work for which tb r� aYYe and will maintain workers' sUr7C, cQme--ire fclicy number for my personal residence in w "has not bee consty�cted thapplic jon is% I or License No for at least one year ri r to completion of the improvements cipered by this permit, I cannot contractors. I updgr�(�9 hat a Iicabl law, a ion 7044 of the Business and : v.le9ihfd.d3: almildb / reft Contractor 11NLAW FILL, AND SHALL SUBJECT AN EMPLOYER TO C R i4jN_ArUNALTIES AND CIVIL FINES UP TO ONE HUNDRED THC ' FTHE LA BOR COO E, INTER EST, AN D ATTOR N EY'S FEES _ lara[iions - '-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by permit is issued. Policy No. ,e of Agent �__ certify that, in the performance o the work if I should becoppesubject to th workers is in full force DOLLARS ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for as required by ection 3700 of the Labor Code, for the performance of the work for which this permit issued. My workers' compen. a a r on Pho}}ne� rme,#.f i Is Issued, hall not employ any person in any erWA lliWstr6ct to the worker; ;comp nsation laws of California, and rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicaryh IECLARATION REGARDING CON TRUCTION LENDING AGENCY hereby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which thi�oej(ryj is�t5'seied-f�gFti0 Civil CDC Ender's Name ��LL��dd SS ly my signature below, I certify to eacliCTLIiQ151TV7 i _ II I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coy�tj5 to enter the above-identiliied property for inspection purposes. �.t ,, .,..f„re Cf oroneH,, n..,�o. „r Aurh,i,, TKO ",_cl � 0 �MRint Property Owner's or Authorized Agent's Nam \� M Af7M OATF Ry DECLARATION OF COMPLIANCE NTH CODE OF FEDERAL REGULATIONS PART 6 f OF TI TLE40 AND Wit UfNL't(ak V"T AQUORUE1403.. rFararTFxprx n Q L ❑ SIflU,fITTFn A41YSTOSHnTFFK-4TdDNT71: ❑ EPA FEWTIT CANCELLED ❑ ACM0 PERh4UTD`..TE&J[1ED ASBESTOS NOTTFICAT{ON IS NOT PPPL/CABLE TO POSEDDfMOUTION. PEFi1114fTTMYAC CERTWICATECF -f' 1YA 1!{1{ C1C[fIDgJJCY;SSLrE0 �